| Asnis Dental, Pllc | |
|
132 Terryville Rd Port Jefferson Station NY 11776-1372 | |
| (631) 473-6400 | |
| (631) 396-0452 |
| Full Name | Asnis Dental, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 132 Terryville Rd, Port Jefferson Station, New York |
| Authorized Official Name and Position | Hiro Soriano (CIO) |
| Authorized Official Contact | 5163445746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Asnis Dental, Pllc 135 Pinelawn Rd Ste 150s Melville NY 11747-3187 Ph: (631) 414-7927 | Asnis Dental, Pllc 132 Terryville Rd Port Jefferson Station NY 11776-1372 Ph: (631) 473-6400 |
| NPI Number | 1144787714 |
|---|---|
| Provider Enumeration Date | 03/01/2019 |
| Last Update Date | 03/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144787714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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